We recognise the complexity of Stroke and Neurological conditions so we have a specialist Coordinator on site to monitor your rehabilitation program. The Stroke and Neurological Rehabilitation Services Coordinator will provide you and your family with education on your condition and support throughout your stay. The Coordinator will provide feedback on your progress and will ensure that the therapy you are receiving is evidenced by current scientific research.
The Exercise Physiology service at MetroRehab is designed to deliver exercise for the prevention and management of injuries and disease. The program will be tailored to your needs and linked to your rehabilitation goals. Your Exercise Physiologist may work with you in the following areas:
- Aerobic conditioning
- Increasing muscular strength and endurance
- Balance and proprioceptive tasks
- Functional task practice as required for activities of daily living
- Fitness and functional testing
Your Music Therapist has specialised training and experience in using music as the medium to aid the rehabilitation process. Musical interventions are focused on physical and psychological goals, mutual to the treating team. An Open Group setting encourages patients to interact with one another and share in their experiences of the rehabilitation process thus far. Whereas individual sessions are centred on achieving specific goals, which are identified by the referring staff member.
Therapy will address the following areas;
- Interaction & stimulation
- Pain management
- Quality of life
The Social Worker/Discharge Planner works with you, your family, the rehabilitation team and the community to facilitate the discharge process. They will also address areas of psychosocial functioning. The various roles include:
- Acknowledgement of diagnosis and need for intervention
- Supportive counseling
- Grief and adjustment to loss as a result of disability/dealing with altered self image and expectations/ changes to your role or relationships
- Adjustment to financial and social stressors related to disability
- Resource counseling for reintegration into employment and community
- Coordinate the discharge process whether that be to home or to supported accommodation
At MetroRehab we recognise patients may benefit from dietetic input due to the impact of illness, lifestyle or medication. All patients are screened on admission to establish nutritional needs and those who require specialist advice are then referred to our Dietician. By providing patient centred nutritional support, the Dietician can ensure the patient achieves the best possible rehabilitation outcomes.
The Dietician may:
- Develop and provide patients with personalised meal plans
- Work closely with the Speech and Language Therapist for those on modified diets
- Provide advice and education on nutrition and food preparation
Speech Pathologists work with people who have problems with:
- Communication: including speech, understanding, concentrating, remembering, reading and writing
- Swallowing: including difficulty chewing, food sticking in the mouth or throat, or coughing on food or drink.
Therapy involves working with the person, and often with their family and friends to help them communicate effectively and eat and drink safely.
The Clinical Psychologist will screen and identify patients who may be experiencing mood issues relating to their current medical condition. Ongoing Clinical Psychology sessions are also offered after discharge in our Day Patient Programs. Therapy will address issues of:
- Grief and loss
- Pain Management
- Adjustment Issues
- Relationship difficulties
Your Occupational Therapist will focus on improving your ability to do everyday tasks and providing you with a safe living environment so you can return to your previous lifestyle. Therapy could include:
- Retraining of functional transfers
- Upper limb therapy for coordination, strength and fine motor skills including use of the iPad
- Assessment and retraining of activities of daily living including showering, toileting, dressing and feeding; prescription of aids to achieve independence
- Increasing independence with completion of domestic tasks such as meal preparation and shopping
- Cognitive assessment and retraining
- Home assessment, recommendations for home modifications and prescription of equipment for safety in the home
- Wheelchair and seating prescription
- Community access e.g. using public transport
- Splinting to prevent joint stiffness and contractures
Prescription of the Saebo splint – a dynamic orthosis for upper limb retraining
Physiotherapists are primarily focused on analysis of movement. They will assess the way you move in bed, how you support yourself in sitting and your ability to stand and walk. Based on your impairments they will deliver an exercise based retraining program with the goal of regaining function. The physiotherapist will regularly review your progress and provide you with ongoing feedback on your performance. During your inpatient stay, your physiotherapist program may involve:
- Functional Practice: bed mobility, getting up from a chair and transferring from bed to a chair
- Analysis and retraining of walking which may include prescribing walking aids, orthoses and/or using the Litegait treadmill system/Bioness L300 stimulation system
- Balance analysis and treatment of balance disorders
- Stairs retraining and outdoor mobility practice
- Treatment of spasticity
- Hydrotherapy classes
- Pain Management
Our team of Rehabilitation nurses are available 24 hours a day, 7 days a week. They will teach, coach and encourage your independence in functional tasks such as walking, showering and transferring while you are here. Rehabilitation nurses will administer therapeutic treatments such as medications and dressings. They are constantly observing and assessing your progress and liaising with the clinical team to ensure your current treatments are appropriate for your individual care.
Your Rehabilitation Specialist will direct your program and be responsible for monitoring, evaluating and treating any medical issues. Supported by an in house Registrar he/she will liaise with your surgeon, Medical Specialist or GP to ensure you have optimal medical care while at MetroRehab. Some of the issues that your Rehabilitation Specialist may assist with during your stay include:
- Pain management
- Deep vein thrombosis treatment and prevention
- Advice on return to work
- Advice on return to driving
- Diagnosis and treatment of Parkinson’s Disease
- Secondary stroke prevention
- Spasticity assessment and management
- Botulinum Toxin Injection
We acknowledge the contribution from your family/carer during your stay at MetroRehab. We want them to feel involved in your journey and can provide education, training and support.
You are the most important member of our team, and we place you at the centre of everything we do. When you arrive at MetroRehab Hospital you will be asked what you would like to achieve from rehabilitation and what your goals are. We will work closely with you to set realistic targets for both the short and long term. We will be alongside you, supporting you in partnership as you strive towards greater independence.